MR. Daniel Luther Green III, IDMT
NPI #1932342094 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1932342094
- Entity Type
- Individual
- Name
- MR. Daniel Luther Green III, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Apr 19, 2009
- Last Updated
- Apr 19, 2009
Practice Location
- Address
- 1 NORAD RD
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80914-6001
- Phone
- (719) 474-3862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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